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<head>
  <meta charset="UTF-8">
  <title>后台登录-X-admin1.1</title>
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  <script src="./lib/layui/layui.js" charset="utf-8"></script>
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</head>

<body>
  <!-- 中部开始 -->
  <div class="wrapper">
    <!-- 右侧主体开始 -->
    <div class="page-content">
      <div class="content">
        <!-- 右侧内容框架，更改从这里开始 -->
        <form class="layui-form">
          <div class="layui-form-item">
            <label for="L_username" class="layui-form-label">
              <span class="x-red">*</span>入住单号
            </label>
            <label class="layui-form-mid">
              1001
            </label>
          </div>
          <div class="layui-form-item">
            <label for="L_repass" class="layui-form-label">
              <span class="x-red">*</span>客房编号
            </label>
            <div class="layui-input-inline">
              <select>
                <option>101</option>
                <option>102</option>
                <option>103</option>
                <option>104</option>
                <option>105</option>
              </select>
            </div>
          </div>

          <div class="layui-form-item">
            <label for="L_repass" class="layui-form-label">
              <span class="x-red">*</span>客房类型
            </label>
            <div class="layui-input-inline">
              <select>
                <option>单人间</option>
                <option>双人间</option>
                <option>四人间</option>
                <option>钟点房</option>
                <option>总统大房</option>
              </select>
            </div>
          </div>

          <div class="layui-form-item">
            <label for="L_repass" class="layui-form-label">
              <span class="x-red">*</span>标准价
            </label>
            <label class="layui-form-mid">
              100
            </label>
          </div>

          <div class="layui-form-item">
            <label for="L_repass" class="layui-form-label">
              <span class="x-red">*</span>折后价
            </label>
            <label class="layui-form-mid">
              100
            </label>
          </div>
          <div class="layui-form-item">
            <label for="L_repass" class="layui-form-label">
              <span class="x-red">*</span>押金
            </label>
            <div class="layui-input-inline">
              <input type="text" id="L_repass" name="oldpass" required="" lay-verify="required" autocomplete="off"
                class="layui-input">
            </div>
          </div>
          <div class="layui-form-item">
            <label for="L_repass" class="layui-form-label">
              <span class="x-red">*</span>入住人
            </label>
            <div class="layui-input-inline">
              <input type="text" id="L_repass" name="oldpass" required="" lay-verify="required" autocomplete="off"
                class="layui-input">
            </div>
          </div>
          <div class="layui-form-item layui-form-text">
            <label for="L_pass" class="layui-form-label">
              <span class="x-red">*</span>证件类别
            </label>
            <div class="layui-input-inline">
              <select>
                <option>中华人民共和国居民身份证</option>
                <option>台湾居民往来大陆通行证</option>
                <option>港澳居民来往内地通行证</option>
                <option>护照</option>
                <option>香港身份证</option>
                <option>澳门身份证</option>
              </select>
            </div>
          </div>
          <div class="layui-form-item">
            <label for="L_repass" class="layui-form-label">
              <span class="x-red">*</span>证件号码
            </label>
            <div class="layui-input-inline">
              <input type="text" id="L_repass" name="oldpass" required="" lay-verify="required" autocomplete="off"
                class="layui-input">
            </div>
          </div>
          <div class="layui-form-item">
            <label for="L_repass" class="layui-form-label">
              <span class="x-red">*</span>联系电话
            </label>
            <div class="layui-input-inline">
              <input type="text" id="L_repass" name="oldpass" required="" lay-verify="required" autocomplete="off"
                class="layui-input">
            </div>
          </div>
          <div class="layui-form-item">
            <label for="L_repass" class="layui-form-label">
              <span class="x-red">*</span>抵店时间
            </label>
            <div class="layui-input-inline">
              <input type="date" id="L_repass" name="oldpass" required="" lay-verify="required" autocomplete="off"
                class="layui-input">
            </div>
          </div>
          <div class="layui-form-item">
            <label for="L_repass" class="layui-form-label">
              <span class="x-red">*</span>离店时间
            </label>
            <div class="layui-input-inline">
              <input type="date" id="L_repass" name="oldpass" required="" lay-verify="required" autocomplete="off"
                class="layui-input">
            </div>
          </div>
          <div class="layui-form-item">
            <label for="L_repass" class="layui-form-label">
              <span class="x-red">*</span>入住人数
            </label>
            <div class="layui-input-inline">
              <input type="text" id="L_repass" name="oldpass" required="" lay-verify="required" autocomplete="off"
                class="layui-input">
            </div>
          </div>
          <div class="layui-form-item">
            <label for="L_repass" class="layui-form-label">
              操作员
            </label>
            <label class="layui-form-mid">
              admin
            </label>
          </div>
          <div class="layui-form-item">
            <label for="L_repass" class="layui-form-label">
              会员编号
            </label>
            <label class="layui-form-mid">
              1001
            </label>
          </div>
          <div class="layui-form-item">
            <label for="L_repass" class="layui-form-label">
              会员价
            </label>
            <label class="layui-form-mid">
              100
            </label>
          </div>
          <div class="layui-form-item">
            <label for="L_repass" class="layui-form-label">
              提供早餐
            </label>
            <div class="layui-input-inline">
              <input type="radio" name="1" value="0" checked title="是">
              <input type="radio" name="1" value="1" title="否">
            </div>
          </div>
          <div class="layui-form-item">
            <label for="L_repass" class="layui-form-label">
              定时叫醒
            </label>
            <div class="layui-input-inline">
              <input type="radio" name="2" value="0" checked title="是">
              <input type="radio" name="2" value="1" title="否">
            </div>
          </div>
          <div class="layui-form-item">
            <label for="L_repass" class="layui-form-label">
              备注
            </label>
            <div class="layui-input-inline">
              <textarea class="layui-input" style="resize:none; width: 400px;height: 100px;"></textarea>
            </div>
          </div>
          <div class="layui-form-item">
            <label for="L_repass" class="layui-form-label">
            </label>
            <button class="layui-btn" lay-filter="save" lay-submit="">
              保存
            </button>
          </div>
        </form>
        <!-- 右侧内容框架，更改从这里结束 -->
      </div>
    </div>
    <!-- 右侧主体结束 -->
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  <!-- 中部结束 -->
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